Alpha Omega Multispecialty Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G48262 Issued in CA

Legal business name

ALPHA OMEGA MULTISPECIALTY GROUP

Practice address

600 N Garfield Ave Ste 210
Monterey Park, CA 91754-1170

Phone

(626) 572-8412

NPI assigned

Apr 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raymond WP Leung, M.D.NPI 1871604686

Title

Owner

Phone

(626) 572-8412

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond W.P. Leung, M.D.

  • Vascular Surgery Physician
  • Anaheim, CA
  • NPI 1871604686

  Surgery

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366564841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 E CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075302",
            "telephone_number": "626-584-0468",
            "fax_number": "626-698-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE STE 210",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541170",
            "telephone_number": "626-572-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OMEGA MULTISPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "WP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-572-8412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G48262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER PIN",
            "identifier": "00G482620",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0084970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.